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101.
M. I. Anjum M. Ahmed N. Shrotri A. Azzopardi G. R. Mufti 《International urology and nephrology》1997,29(3):313-317
The clinico-pathological features of nine urethral and urinary bladder polyps with prostate-type epithelium are described.
The average age of the patients was 46 years. Three patients previously had cystoscopy and the lesion was not noticed on the
initial examination. The commonest presentation in this series was haematuria, dysuria and frequency of micturition. One patient
presented with postmicturition dribble and another with haemospermia. The polyps contained acini and papillae lined by prostate-type
epithelium which was confirmed by immunohistochemical tests for prostate specific antigen and prostate acid phosphatase. In
this series no age versus location relationship could be established. Symptoms resolved following resection or initial biopsy
followed by fulguration. Recurrence is extremely rare. 相似文献
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R A Lobo M Notelovitz L Bernstein F Y Khan R K Ross W L Paul 《American journal of obstetrics and gynecology》1992,166(4):1182-8; discussion 1188-90
OBJECTIVE: Lp(a) lipoprotein is a distinct lipoprotein particle that recently has been found to be associated with cardiovascular disease. A study was conducted to assess the influence of cardiovascular disease risk factors on levels of Lp(a) and to evaluate the effects of age, exercise, and estrogen on these levels. STUDY DESIGN: Two studies, a cross-sectional study of older men (n = 105) and women (n = 75) (mean age 76 years) and a prospective study of younger postmenopausal women (mean age 48 years), were carried out. Lp(a) and other lipoproteins were measured in the two studies and differences were sought by statistical analysis. RESULTS: In the cross-sectional study, serum Lp(a) was similar in men and women and was not influenced by age. Lp(a) levels in men and women were higher when there was more than one cardiovascular disease risk factor present (p less than 0.028). We could not demonstrate such a relationship with other lipid and lipoprotein measurements. In the prospective study exercise alone had no influence on Lp(a) levels. Oral estrogen decreased Lp(a) levels marginally (p = 0.08). The decrease in Lp(a) with oral estrogen was associated with increases in triglycerides (p less than 0.01) and very-low-density lipoprotein (p less than 0.06). CONCLUSIONS: These data confirm that elevated Lp(a) levels are an independent risk factor for cardiovascular disease. Lp(a) levels are primarily influenced by genetic factors and it appears estrogen may have a minor influence on its hepatic synthesis. 相似文献
105.
Dr. Seema A. Khan MD Nick J. Gonchoroff DrPH Linda E. Miller PhD 《Annals of surgical oncology》1997,4(6):462-469
Background: Many studies have addressed the effect of the timing of surgery for breast cancer relative to menstrual cycle phase, with
conflicting results. Explanations for the possibility that survival could be altered by the appropriate timing of breast cancer
surgery in humans remain speculative.
Methods: We examined the expression of three estrogen related proteins (c-erbB-2, cathepsin D, pS2) in the breast tumors from 69 premenopausal women sampled in different phases of the menstrual cycle.
Data on S-phase fraction and hormone receptor expression were also analyzed. Immunohistochemical assays were used to measure
the proteins of interest. S-phase fraction was determined by flow cytometry. Analyses were performed based on fraction of
cells staining positive for the protein, density of stain, and a histoscore that combined both fraction of positive cells
and density.
Results: We found no differences in c-erbB-2, cathepsin D, hormone receptor, or S-phase levels in tumors sampled in the follicular versus luteal phase, or perimenstrual
versus periovulatory phase. The exception was pS2, which was expressed at greater levels during the luteal than during the
follicular phase of the cycle (p<0.01); but there was no difference in pS2 expression when the patients were classified as
periovulatory versus perimenstrual.
Conclusions: Our findings do not support a variation in c-erbB-2, cathepsin D, S-phase fraction, or receptor expression as an explanation for the differences in breast cancer prognosis
when surgery is timed by menstrual cycle phase. The finding that pS2 (an indicator of hormone sensitivity, and possibly better
prognosis) is expressed at higher levels in tumor samples during the luteal phase suggests that the biologic profile of breast
tumors may vary with the menstrual cycle and that these variations deserve further study. 相似文献
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The physicochemical properties of the upstream and downstream waters from the Upper Ganga canal, discharged cooling tower water, machine washings, and scrubber and bottom ash effluents of a 530 MW Kasimpur coal-fired thermal power plant have been determined, and their effects directly on fertile soil and indirectly on pea (Pisum sativam) and wheat (Triticum aestivum) crops have also been studied. The effluents were found to be alkaline in nature. The scrubber and bottom ash effluent was found to contain large amounts of solids and had high biochemical and chemical oxygen demands. All the effluents were found to be responsible for altering the chemical composition of the soil. The soils irrigated with the different effluents exhibited an increase in pH, organic matter, calcium carbonate, water-soluble salts, cation exchange capacity, electrical conductivity, and nitrogen and phosphorus contents while potassium content decreased, probably due to being leached to the lower layers of the soil. The effects of 100, 50, and 0% (tap water control) dilutions of cooling tower, machine washings, and scrubber and bottom ash effluents on the germination and growth of pea and wheat crops were also monitored. Using the undiluted effluents, there was 100% germination for both the crops when the irrigation was done with cooling tower effluent. The germination was restricted to 90% for the two crops when irrigated with machine washings effluent, and to 80 and 70% for pea and wheat, respectively, when irrigated with scrubber and bottom ash effluent. The samples of upstream and downstream canal water were also used for irrigating soils with and without crop plants in order to ascertain the impact of the effluents on the canal water and its subsequent effect on the crops. The soils irrigated with downstream canal water were found to contain slightly more calcium carbonate, phosphorus, and ammonia-nitrogen than those receiving upstream canal water. Though 100% germination was obtained in both the cases, the growth of the plants irrigated with the downstream canal water was found to be slightly reduced. 相似文献
109.
Early nerve regeneration after Achilles tendon rupture — a prerequisite for healing? A study in the rat 总被引:4,自引:0,他引:4
Paul W Ackermann Mahmood Ahmed Andris Kreicbergs 《Journal of orthopaedic research》2002,20(4):849-856
Nerve regeneration during healing of Achilles tendon rupture in the rat was studied by immunohistochemistry including semi-quantitative assessment. Neuronal markers for regenerating and mature fibers, ie., growth associated protein 43 (GAP-43) and protein gene product 9.5 (PGP 9.5), respectively, were analyzed at different time points (1-16 weeks) post-rupture. In the paratenon, both the ruptured and intact contralateral tendon (control) consistently exhibited immunoreactivity to the two neuronal markers. However, in the proper tendinous tissue only the ruptured tendon showed immunoreactivity to GAP-43 and PGP 9.5. This expression was seen already at week 1 post-rupture to reach a peak at week 6 followed by a successive drop till week 16. Also the occurrence of sensory and autonomic fibers according to immunoreactivity for calcitonin gene-related peptide (CGRP) and neuropeptide Y (NPY), respectively, was analyzed. CGRP-positivity was abundantly seen from weeks 2-6 in both perivascular and sprouting free nerve endings in the proper tendon tissue undergoing healing. NPY appeared later, at weeks 6-8 post-rupture around blood vessels mainly located in the surrounding loose connective tissue. Apart from a role in vasoaction (CGRP, vasodilatory; NPY, vasoconstrictory). both neuropeptides have been implicated in fibroblast and endothelial cell proliferation required for angiogenesis. The present study shows that early healing of ruptured tendons is characterized by an orchestrated, temporal appearance of nerve fibers expressing peptides with different actions. The observed pattern of neuronal regeneration and neuropeptide expression may prove to be important for normal connective tissue healing. 相似文献
110.